Raymond Peter Pantaleo

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A20055 Issued in NC

Practice address

5720 Creedmoor Rd Ste 201
Raleigh, NC 27612-2383

Phone

(919) 977-6018

Fax

(919) 300-7471

NPI assigned

May 23, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dynamic Resources & Guidance Inc

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1689957904
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1457190845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 CAROLINE DR",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275916968",
            "telephone_number": "919-413-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 CREEDMOOR RD STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122383",
            "telephone_number": "919-977-6018",
            "fax_number": "919-300-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTALEO",
        "first_name": "RAYMOND",
        "middle_name": "PETER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A20055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amira Pankey
• Kathleen M Panna, OTR
• Karthika Panneerselvam
• Keri Genise Pannell, LPC, LCAS
• Malcolm Hart Pannill II, PAC
• Robert Peter Pantano
• Abigail Gabriella Panther
• Priyanka Panthula, DDS
• Emily Elizabeth Paonessa, MS, RD, LD/N
• Christopher Papademetriou, DDS, MS

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.